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This is VAERS ID 597806

Case Details

VAERS ID: 597806 (history)  
Form: Version 1.0  
Age:   
Sex: Unknown  
Location: Unknown  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2015-08-13
Entered: 2015-09-21
   Days after submission:39
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH - / UNK UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site warmth
SMQs:, Extravasation events (injections, infusions and implants) (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: 2015164519

Write-up: This is a spontaneous report from a contactable physician via a sales representative. A patient of unknown age, gender and ethnicity received TRUMENBA at 0.5 ml single dose on unspecified date. Concomitant medications and medical history were not reported. About 5 hours after the injection was given, the patient had site reactions, warm, red, and a little hurt, painful and there was some itching too, so the patient called back to the office and it was suggested to BENADRYL because of the itching and redness. The patient was told to call back if symptoms persisted, but patient did not call back so the physician assumed everything was fine. The physician visited the patient the following week for something unrelated and everything was fine. Causality was not available. Follow-up (10JUL2015): Follow-up attempts completed. No further information expected.


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